Mao Xiaohui, Cheng Xuefeng, Zhang Zheng, Wang Zhaoyan, Wang Zhentao
Department of Otolaryngology Head and Neck Surgery, Shanghai Ninth People's Hospital, School of Medicine, Shanghai Jiao Tong University, 639 Zhizaoju Rd, Shanghai, 200011, People's Republic of China.
Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, School of Medicine, Shanghai Jiao Tong University, 639 Zhizaoju Rd, Shanghai, 200011, People's Republic of China.
Eur Arch Otorhinolaryngol. 2017 Apr;274(4):1919-1924. doi: 10.1007/s00405-016-4417-3. Epub 2016 Dec 21.
The aim of this study is to evaluate the efficacy of ethosomes encapsulated with 5-fluorouracil (5-FU) in treatment of laryngotracheal stenosis in rabbit models. The 5-FU ethosome was prepared by the thin film hydration method, and the amorphous, size distribution and the encapsulation efficiency was investigated. The tracheal mucosa were scraped about 0.5 cm with a nylon brush to induce the scar in airway grow, then models were divided into three groups: 5-FU ethosome group, 5-FU group and saline group, drug were injected into scar of every group by paracentesis guided under endoscope, respectively. The stenosis states were observed under laryngo fiberscope immediate, 7, 14 and 21 days after administrated. Airway stenosis of 5-FU ethosome group has no significant difference when compared with 5-FU group at 7 days after administration, but 5-FU ethosome significantly reduced the airway stenosis after 21-day administration when compared with 5-FU group again and has no restenosis during the period under observation. The fact that ethosomes encapsulated with 5-FU were effective for laryngotracheal stenosis suggests that it has potential as a new method for ameliorating airway stenosis originating from granulation tissue.
本研究旨在评估载有5-氟尿嘧啶(5-FU)的醇质体治疗兔喉气管狭窄模型的疗效。采用薄膜水化法制备5-FU醇质体,并对其形态、粒径分布及包封率进行考察。用尼龙刷刮取气管黏膜约0.5 cm以诱导气道瘢痕生长,然后将模型分为三组:5-FU醇质体组、5-FU组和生理盐水组,分别在内镜引导下经穿刺将药物注入各组瘢痕内。给药后即刻、7天、14天和21天在喉镜下观察狭窄情况。给药7天时,5-FU醇质体组气道狭窄情况与5-FU组相比无显著差异,但给药21天后,5-FU醇质体组与5-FU组相比气道狭窄明显减轻,且在观察期内无再狭窄。载有5-FU的醇质体对喉气管狭窄有效,这表明其有潜力成为改善肉芽组织源性气道狭窄的新方法。